HomeMy WebLinkAboutDrain Layers Permit 45 Hollis Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER' S PERMIT NO 765
1?_/-V74 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1'5 Hollis [ _, on the
side, between
at premises owned by Victor N'. Lemieuy
whose address is .Ame
and to X Lay House Drain Repair House Drain, Lay Main, Other
for Residential occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR
Connection will be made with :"ix Inch 1-lacstic Fire
Permit to be issued to Joseph 11aguette
the holder of Drain Layer's License No. -01'?01592 Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid 6T/ Licensed Drain Layer
12/x0/74 Issued by Frank J. ,`mitb
Tax Collector
Permit Fee: Paid $ ___1 5..M
INSPECTION: Check Number: _
INITIAL (Sig)
FINAL (Sig)
APPROVED y 1/7¢ (Date)
(Sig)
INSPECTOR
V
4
0
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY